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Medical Insurance Recovery Specialist
2 months ago
Pacific Medical Inc. is a leading distributor of durable medical equipment, specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. Our company is dedicated to providing excellent service and product technology to advance patient care.
Job Responsibilities:- Contact insurance companies to resolve past due bills and negotiate payment plans.
- Enter Explanation of Benefits (EOBs) into the system and research returned claims to ensure accurate processing.
- Conduct phone and written follow-up on unpaid claims to maximize cash collection and minimize time.
- Research and resolve open accounts quickly and professionally to maintain a high level of customer satisfaction.
- Minimum 1-2 years of medical collections experience.
- Ability to type 31-45 words per minute.
- Strong knowledge of medical records and ability to read and interpret them.
- Familiarity with Endeavor and/or Medicare IVR systems.
- Knowledge of Explanation of Benefits (EOBs) and ability to read and interpret them.
- Understanding of HMOs and PPOs.
- Ability to work with patients' medical records to determine correct Medicare criteria.
- Hourly rate pay range: $16.00 to $26.00.
- Annual range: $33,280 to $54,080.
- Overtime rate pay range: $24.00 to $39.00.
- Example of annual overtime range: $5,000 to $19,500+.
- Bonus opportunity: production bonus up to $750 per month and profit bonus up to $1,000 per month.
- Medical, dental, vision, and ER paid life insurance for employees.
- Voluntary benefits, medical FSA, dependent FSA, HSA, and 401(k) for eligible employees.
- Financial wellness planning and access to a financial advisor.
- Three to four weeks of paid time off per year.
- Ten paid holidays per year.
- Vacation accrual up to a maximum of 80 hours in the first 23 months and 40 hours in the first 12 months.
- Sick accrual up to a maximum of 80 hours annually with a maximum usage of 48 hours annually.
